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The Department of Health Care Services (DHCS), Benefits Division (BD) is responsible for developing, implementing, and overseeing Medi-Cal medical coverage policy for most health care services provided by California’s federal Medicaid program (called Medi-Cal), which includes both the fee-for-service (FFS) and managed care delivery systems.
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For more information about how to apply for Medi-Cal, please visit Medi-Cal Eligibility Division‘s (MCED’s) website. On this website, there is a dedicated page for Medi-Cal members where you can find general information, resource documents, forms, and a link to the application for health insurance, including Medi-Cal. You can also find out if you qualify for Medi-Cal or other programs, including:
- Presumptive Eligibility for Pregnant Women (known as “PE4PW”)
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- Txhua Tus Poj Niam Suav (EWC)
- Family Planning, Access, Care and Treatment (FPACT)
- Prostate Cancer Treatment Program (PCTP)
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Cov Nyiaj Pab Medi-Cal
Once you are determined to be eligible for Medi-Cal, you will have access to a core set of health benefits (known as Essential Health Benefits (EHBs)), including doctor visits, hospital care, immunization, pregnancy-related services, prescription drugs, mental health and substance use disorder services, dental, laboratory services, nursing home care, and more. You can learn more about specific EHB categories and the services that fall within each on the DHCS’ website.